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Behind the bruise: unmasking hidden blunt cardiac injuries

Ankur Handa1, Praveen Arumugam1, Lamk Kadiyani1

  • 1Cardiology, AIIMS New Delhi, New Delhi, India.

BMJ Case Reports
|January 9, 2026
PubMed

Insights

Blunt cardiac injury in children is rare but can cause delayed issues. Early ECG and echocardiography are crucial for identifying ventricular tachycardia and atrial pseudoaneurysms after chest trauma.

Area of Science:

  • Pediatric Cardiology
  • Cardiovascular Trauma

Background:

  • Blunt cardiac injury (BCI) in children is uncommon.
  • BCI can lead to delayed and diverse clinical presentations.

Purpose of the Study:

  • To illustrate varied manifestations of BCI in children.
  • To emphasize the importance of prompt diagnosis and management of pediatric BCI.

Main Methods:

  • Case report of two children with BCI.
  • Utilized multimodality imaging for diagnosis.
  • Employed medical and surgical interventions for management.

Main Results:

  • One child developed ventricular tachycardia post-trauma.
  • Another child presented with a right atrial pseudoaneurysm causing dyspnea.
  • Successful outcomes achieved with tailored management strategies.

Conclusions:

  • BCI in children requires a high index of suspicion.
  • Electrocardiogram (ECG) and echocardiography are vital screening tools.
  • Early identification and intervention improve patient outcomes in pediatric blunt chest trauma.

Keywords:
ArrhythmiasCardiothoracic surgeryMagnetic Resonance Imaging

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